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目的:探讨泌尿系结石手术的治疗方法,提高手术的成功率。方法:回顾性分析我院2012年5月至2014年5月50例行激光微创手术治疗的泌尿系结石患者,总结手术中的注意事项。结果:50例患者中,体外冲击波碎石12例、输尿管镜取石16例、经皮肾镜取石10例、腹腔镜手术取石12例,所有患者均为一次性取石成功。患者平均住院时间4.6d,术间患者无一例改开放手术,无出现输血情况。结论:微创手术的发展使得泌尿系结石手术变得更加简单高效,与传统手术相比,微创手术具有创伤小、出血少、并发症少、恢复快等优点,具有临床上的推广价值。
Objective: To investigate the treatment of urolithiasis and improve the success rate of surgery. Methods: A retrospective analysis of 50 cases of urolithiasis treated by laser minimally invasive surgery from May 2012 to May 2014 in our hospital was reviewed, and the precautions in the operation were summarized. Results: Of the 50 patients, 12 were ESWL, 16 were ureteroscopic, 10 were percutaneous nephrolithotomy, and 12 were obtained by laparoscopic surgery. All patients were successfully treated with one-time stone removal. The average length of hospital stay was 4.6 days. No patients underwent open surgery and there was no blood transfusion. Conclusion: The development of minimally invasive surgery makes urinary stone surgery more simple and efficient. Compared with traditional surgery, minimally invasive surgery has the advantages of less trauma, less bleeding, fewer complications and quicker recovery, and has the clinical popularization value.